Deck 41: Genitourinary and Reproductive System Function and Assessment

Question 1

The nurse is helping a patient who is scheduled to have a cystourethroscopy. Which of the following questions is most important for the nurse to ask?

A)"Do you have any allergies?"
B)"When was your last bowel movement?"
C)"Do you tend to be claustrophobic?"
D)"Are you sexually active?"

Answer 1

"Do you have any allergies?"

Question 2

While performing a physical examination on a male patient, the nurse notes that the urethral opening is located on the underside of the penis. Which of the following terms best describes this condition?

A)Phimosis
B)Paraphimosis
C)Hypospadias
D)Epispadias

Answer 2

Hypospadias

Question 3

A woman has had two pregnancies. The first pregnancy produced a healthy baby girl. The second pregnancy produced a set of twins, a boy and a girl. How would the nurse document this history?

A)GII, PI, PII
B)GII, PII
C)GII, PIII
D)GIII, PIII

Answer 3

GII, PII

Question 4

A nurse is teaching a 30-year-old male patient about testicular self-examinations (TSE). Which of the following instructions would be included in the teaching?

A)"You should do this on a weekly basis."
B)"Monthly TSE is an important part of cancer screening."
C)"If you do this every other month, you will locate tumors before they metastasize."
D)"This should be done each year just prior to your routine physical examination by a physician."

Question 5

A woman is advised by her physician to have a mammogram. What instructions should the nurse provide to assist the patient to prepare for the examination?

A)There is no preparation required.
B)Fast for 12 hours before the test.
C)Avoid caffeinated foods and beverages for 24 hours before the test.
D)Avoid applying deodorant or powder before the test.

Question 6

Women secrete less estrogen as they age. What is one effect of this decrease?

A)Breast enlargement
B)Lowered serum cholesterol
C)Osteoporosis
D)Vaginal discharge

Question 7

The nurse is preparing a woman for a pelvic examination. Which action should the nurse take prior to the examination?

A)Cleanse the perineum with an iodine preparation.
B)Have the patient void.
C)Assist the patient into a knee-chest position.
D)Administer a suppository.

Question 8

What hormone stimulates the release of milk from the breast of a nursing mother?

A)Prolactin
B)Follicle-stimulating hormone (FSH)
C)Luteinizing hormone (LH)
D)Oxytocin

Question 9

The nurse provides care for an elderly man with noted breast enlargement. He denies discomfort. Which of the following statements, recorded in the chart, is most appropriate?

A)"Gynecomastia noted bilaterally, no complaints of tenderness."
B)"Patient with symptoms of mastalgia, no drainage seen."
C)"Mastitis noted in both breasts, patient denies itching."
D)"Abnormal swelling in both breasts; patient denies recent trauma."

Question 10

What change in the reproductive system do men experience as a normal part of aging?

A)Prostatic hypertrophy
B)Cancer of the prostate
C)Cessation of sperm production
D)Muscle hypertrophy

Question 11

The nurse is assisting with a Papanicolaou (Pap) smear. Following specimen placement on the slide, what should the nurse do first with the slide?

A)Spray it with a fixative.
B)Label and wrap it.
C)Wash it with antiseptic.
D)Place it in a sterile container.

Question 12

The nurse is assisting with teaching a woman about early detection of cancer. According to the American Cancer Society, how should a 52-year-old woman be instructed to monitor for breast cancer?

A)Monthly breast self-examination (BSE) and a mammogram every 5 years
B)Monthly BSE and a mammogram every 3 years
C)Yearly BSE, mammogram, and clinical examination
D)Monthly BSE and a mammogram and clinical examination yearly

Question 13

Which palpation pattern should women be taught to use when practicing breast self-examination?

A)Spiral pattern
B)Parallel lines
C)Wheel-spoke pattern
D)Any pattern that is consistent and covers all breast tissue

Question 14

The nurse is helping a young woman prepare for her first pelvic examination. Which of the following actions by the nurse is best?

A)Administer a mild sedative before the examination.
B)Teach the patient a relaxation exercise.
C)Distract the patient by explaining the reproductive disorders she is being tested for.
D)Have the patient close her eyes and bear down.

Question 15

The smooth muscle of the prostate gland contributes to what function?

A)Erection
B)Ejaculation
C)Secretion of prostaglandins and clotting proteins
D)Production of alkaline secretions that neutralize urine

Question 16

What does the term abortus mean in an obstetrical history?

A)Delivery of a live but impaired infant
B)A medically induced abortion
C)An ectopic pregnancy
D)Loss of a fetus before it was mature enough to live outside of the mother

Question 17

The nurse assists with patient education related to testicular self-examination (TSE). The nurse determines that teaching was effective when the patient makes which of the following statements?

A)"I should perform TSE after intercourse."
B)"It is best to do TSE at the end of the day."
C)"The TSE examination is easiest after a warm bath or shower."
D)"TSE should be done after vigorous exercise."

Question 18

Which layer of the uterus is responsible for labor and delivery?

A)Myometrium
B)Endometrium
C)Perimetrium
D)Epimetrium

Question 19

The nurse notes that insufflation was used on a patient who has had an endoscopic examination. What care should the nurse provide for the patient during the recovery period after the procedure?

A)Have the patient ambulate as soon as she is able.
B)Encourage 1 to 2 L of fluids.
C)Have the patient lie flat for several hours.
D)Keep the patient NPO for 6 hours.

Question 20

What should a nurse teach a 50-year-old man about monitoring for prostate problems?

A)Perform regular testicular self-examination (TSE).
B)Have a monthly ultrasound examination.
C)Have a semiannual x-ray examination.
D)Have a yearly digital rectal examination (DRE).

Question 21

Which glands produce secretions that become part of semen? (Select all that apply.?

A)Bulbourethral glands
B)Testes
C)Ductus deferens
D)Prostate gland
E)Anterior pituitary gland
F)Seminal vesicles

Question 22

The LPN is providing instructions on testicular self-examination. Which of the following statements would be included in the teaching? (Select all that apply.?

A)"If you notice any lumps or unusual changes, you should call your doctor."
B)"The left side of the scrotum usually hangs a little lower than the right."
C)"Hold the scrotum in one hand and massage gently to note any tenderness."
D)"The testicles should be round, smooth, and egg-shaped."
E)"The spermatic cord generally cannot be felt without deep palpation."

Question 23

The nurse is caring for a patient who recently underwent cystourethroscopy. Which of the following instructions should the nurse provide before the patient is discharged?

A)"You will not urinate for about 8 hours."
B)"You can expect your urine to be red for about 3 days."
C)"You might experience some white drainage for the next couple of days."
D)"You should report any changes in your usual urination pattern."

Question 24

A patient learns he has an elevated prostate-specific antigen (PSA) and asks the nurse what this means. What is the best response?

A)"The higher the PSA, the better. It is protective against prostate cancer."
B)"An elevated PSA can indicate prostatic hypertrophy or cancer. You should follow up as your physician advises."
C)"Prostate cancer causes the PSA to increase. You should talk to your physician about treatment."
D)"An elevated PSA is usually harmless. Your physician will watch it carefully over the next couple of months."

Question 25

The vulva includes which of the following structures? (Select all that apply.?

A)Mons pubis
B)Bartholin's glands
C)Cervix
D)Clitoris
E)Vagina
F)Urethra

Question 26

What assessment findings on breast palpation should the nurse report to the physician for follow-up? (Select all that apply.?

A)Puckering or dimpling of skin
B)Slight difference in size between breasts
C)Asymmetrical movement of the breasts
D)Areas of different consistency
E)Different pointing position of nipples
F)Stretch marks

Question 27

An LPN is caring for a woman whose obstetrical history is noted as GIV, PIII, AI. The nurse knows which of the following is true about the patient's history? (Select all that apply.?

A)The woman has been pregnant six times.
B)The woman had a spontaneous miscarriage.
C)The woman gave birth three times.
D)The woman has a set of triplets.
E)One pregnancy failed to result in a live birth.
F)All of the live infants were carried to full term.

Question 28

According to the American Cancer Society, how often should a breast self-examination (BSE) be performed?

A)Yearly
B)Monthly
C)Weekly
D)Semiannually
Multiple Response
Identify one or more choices that best complete the statement or answer the question.